Clean, attractive interior and well-maintained grounds
Spacious, well-appointed apartments and studios
Welcoming, family-style community atmosphere
On-site memory care unit
Engaging activities and social programs for active residents
Pet-friendly accommodations
Large dining room with ample seating
Supportive and helpful admissions/marketing staff
Responsive administrative support
Quiet neighborhood and convenient location
Cons
High staff turnover and leadership instability
Inconsistent caregiver availability and staffing levels
Gaps in medication administration and clinical follow-through
Inconsistent personal-care schedules and hygiene assistance
Unreliable meal-service continuity and limited menu variety
Limited dining accommodations for specific dietary preferences
Billing and financial-accounting inconsistencies
Limited transportation availability for off-site appointments
Limited on-site leadership presence and corporate responsiveness
Package and personal-item security concerns
Summary of reviews
Reviews of Columbia Place Assisted Living describe a facility with many tangible strengths but also recurring operational weaknesses that produce uneven family experiences. On the positive side, reviewers consistently praise the caregiving staff, nursing presence, and general cleanliness. Many families felt the community was welcoming and family-like, with spacious apartments, attractive common areas, well-maintained grounds, and an on-site memory-care unit. Admissions and marketing personnel were frequently described as supportive, and several reviewers highlighted smooth move-ins and a calming atmosphere. For residents who are active and socially engaged, the facility’s activities, amenities, and dining-room environment were often cited as strong points.
Care and staffing present a mixed picture. Numerous accounts commend individual caregivers, med-techs, and nurses for compassionate, attentive care and for being responsive in routine situations. At the same time, a clear pattern of high staff turnover and periodic leadership changes emerged across reviews; families connected this turnover to variability in day-to-day caregiving, longer wait times for assistance, and inconsistencies in personal-care schedules (bathing, bed changes, and similar tasks). Several reviewers raised concerns about medication-administration lapses and uneven clinical follow-through, which points to gaps in clinical processes or staffing continuity rather than to the absence of qualified personnel.
Dining and nutrition were described both positively and negatively. Some families praised well-prepared, customizable meals and a large dining room, while others described repetitive menus, inconsistent meal delivery, and limited options for specific dietary preferences (for example, vegan or ethnic cuisine). Service pace and timing were mentioned as concerns in several accounts, and a few reviewers noted extra charges or billing inconsistencies related to meal service.
Activities and resident engagement are generally geared toward more independent, active residents. Reviewers frequently noted robust programming for ambulatory residents — gardening, walking groups, and weekly activities — but a subset of families indicated the community is less well suited to residents with higher dependency needs, where more hands-on assistance and escorted programming would be beneficial.
Facility condition and amenities are clear strengths: the building, grounds, and interiors were repeatedly described as clean, attractive, and well cared for. The neighborhood and location were also seen as positive. Operationally, however, families reported issues with billing and financial-accounting consistency, occasional package-security concerns, and limited transportation options for medical appointments (restricted shuttle capacity and limited scheduling). Several reviews also described accessibility challenges to corporate leadership and felt on-site management presence was insufficient at times.
Overall, Columbia Place appears to offer a high-quality environment and many caring staff members, producing very positive experiences for numerous residents and families. Concurrently, recurring themes of staffing instability, variability in personal-care and clinical follow-through, menu and billing inconsistencies, and limited transportation/scheduling flexibility suggest operational areas that may affect reliability of care. Prospective residents and families would benefit from focused questions during a tour: staffing ratios and turnover, medication administration protocols, sample menus and dietary accommodations, billing practices, transportation schedules, and how leadership handles clinical or billing concerns to better understand how the facility’s strengths align with an individual’s care needs.
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Location
Columbia Place Assisted Living is located at 15727 NE Russell St, Portland, OR, 97230.
About Columbia Place Assisted Living
Columbia Place Assisted Living sits in a two-story building and has 102 apartments, offering studio, one-bedroom, and two-bedroom options, so folks can have choices that fit their needs, and that includes 16 studio apartments meant just for memory care in the Expressions Memory Care neighborhood, which keeps residents with memory problems safe and supported. Meals get cooked on site and served in the dining room, with snacks through the day, and they pay close attention to any dietary restrictions which is a relief for lots of people. You'll see outdoor courtyards, walking paths, a neighborhood clubhouse, and a pool for those who enjoy some fresh air or want to chat with neighbors, and they also have indoor common spaces like lounges, a private dining room for family, and a beauty and barber shop. Each apartment has a private bathroom, kitchenette, personal heating and cooling, and emergency call systems, with accessible showers for anyone who uses a wheelchair.
There are six levels of care here, with plans that fit each person's needs, and there aren't any one-size-fits-all packages, so folks get care that matches their daily habits and health needs, making things smoother for everybody. The staff is on hand around the clock for personal care, and there's 12-16 hour nursing on-site with a nurse-on-call at all times, plus a full-time personal trainer for exercise and fall prevention. They also work with KP Cares, Housecall Providers, and other medical groups to make sure people get medical oversight, post-acute care services, rehab, hospice support, and home health care. PT/OT, dental hygiene, foot care, and medication management are provided through coordination with local specialists. Residents get help with bathing, dressing, medication management, and transfers as needed.
Memory care here uses a locked and secure courtyard, 24/7 staff, and alert systems to keep everyone safe, with specific programs for those with Alzheimer's or other memory issues, and a team that's trained to handle the unique needs that come with dementia. The community accepts both men and women and even allows pets, and there's pet therapy especially in the memory care neighborhood for comfort. They offer respite care for short stays, palliative and hospice care, and transitional services for folks leaving the hospital and not quite ready for home life.
You'll find a calendar full of activities led by an activities director, including daily exercise, music groups, cognitive activities to keep the mind sharp, support group meetings for residents and families, plus outings, happy hours, volunteer opportunities, and religious services right on site or nearby. Transportation is available for medical appointments, errands, and outings, making things less complicated for residents. Housekeeping, laundry, weekly linen changes, and meal service come with the apartments, and you'll notice that they publish a community newsletter to keep everyone informed about what's happening.
Columbia Place Assisted Living pays close attention to details that make life easier and safer-like elevators, secure community spaces, and a 24-hour call system-while keeping a focus on comfort and individual care, so people can find a balance between needing support and still having their independence. Staff and management stay available to answer questions and help new residents settle in, while the active resident council, various programs, and a steady stream of events give everyone a chance to stay active, social, and cared for in a community that values both independence and reliable support.
Founded in 2013 and headquartered in Farmington, Utah, PACS Senior Living operates over 30 communities across multiple states. The company provides assisted living, memory care, skilled nursing, and independent living services. PACS elevates senior care by empowering local teams with operational support.
People often ask...
Columbia Place Assisted Living offers assisted living and memory care.
There are 26 photos of Columbia Place Assisted Living on Mirador.
The full address for this community is 15727 NE Russell St, Portland, OR 97230.
No, Columbia Place Assisted Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified deficiencies in change of condition monitoring, health services, treatment orders, and fire safety, including missing actions for short-term changes, delayed nursing assessments, incorrect diet orders, and incomplete fire drill records.
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Fire and Life Safety: Safety
18 Jun 2026Licensure
18 Jun 2026Licensure
Investigated multiple deficiencies across abuse reporting, service planning, monitoring, restraints, staffing, activities, and outdoor areas, including failures to report injuries as suspected abuse and to maintain accurate resident plans and ABST data.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
Deficiency—Secure Outdoor Recreation Area
08 Dec 2025Abuse: Neglect
08 Dec 2025Abuse: Neglect
Investigated a failure to administer ordered medication; a resident did not receive the prescribed antibiotic for several days.
Abuse—Failed to administer ordered medication
05 Nov 2025Inspection
05 Nov 2025Inspection
Found that records were not provided to the Department upon request, violating Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
27 Aug 2025Change of Owner
27 Aug 2025Change of Owner
Identified multiple deficiencies across monitoring of residents' changes in condition, medication management, staff training, acuity staffing updates, and building safety and maintenance.
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Staffing Requirements and Training ? Pre-service
Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
Deficiency—Fire and Life Safety: Training for Residents
Identified multiple deficiencies across resident rights, meals, activities, service planning, infection control, staffing updates, fire safety, and building environments, indicating several violations were observed.
Deficiency—Resident Rights and Protection - General
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—General Building Exterior
Deficiency—General Building Interior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Individual freedom: Access To Food Any Time
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
30 Jul 2025Inspection
30 Jul 2025Inspection
Found failure to accurately document written physician orders in resident records for all medications administered, compromising medication safety.
Licensing—Failed to provide a safe medication administration system
19 May 2025Inspection
19 May 2025Inspection
Found ABST results were not used to develop and update the posted staffing plan.
Licensing—Failed to use an ABST
19 May 2025Inspection
19 May 2025Inspection
Determined that there were not consistently qualified awake direct care staff in sufficient numbers to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
06 Feb 2025Abuse: Neglect
06 Feb 2025Abuse: Neglect
Found that staff did not ensure timely notification or documentation of a change in condition, allowing an untreated wound to worsen to an unstageable necrotic state. A $375 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
06 Feb 2025Inspection
06 Feb 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data and determined a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
15 Nov 2024Abuse: Neglect
15 Nov 2024Abuse: Neglect
Investigated a complaint of neglect related to food safety, found failure to protect an individual from an allergic reaction after consuming a dessert, resulting in treatment and ongoing symptoms; a fine was assessed.
Abuse—Failed to provide a therapeutic diet
29 Jul 2024Inspection
29 Jul 2024Inspection
Investigated and substantiated a failure to provide a safe medication administration system, leading to a resident receiving another resident’s medication and suffering severe low blood pressure.
Licensing—Failed to provide a safe medication administration system
22 Jul 2024Complaint
22 Jul 2024Complaint
Investigated a complaint and identified deficiencies in service planning, falls prevention, medication monitoring, staffing, and training that affected residents.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Training Within 30 Days: Direct Care Staff
22 Jul 2024Inspection
22 Jul 2024Inspection
Found failure to fully implement and update an acuity-based staffing tool, violating Oregon Administrative Rules.
Licensing—Failed to provide safe environment
08 Jul 2024Inspection
08 Jul 2024Inspection
Found insufficient awake direct care staffing to meet 24-hour needs, including a morning shift with only one staff member unable to perform 2-person transfers on 07/08/24.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
13 Jun 2024Abuse: Neglect
13 Jun 2024Abuse: Neglect
Identified improper gait belt placement and insufficient staff training that caused bruising and risk of harm to a resident during transfer.
Abuse—Failed to provide appropriate staffing
21 May 2024Abuse: Neglect
21 May 2024Abuse: Neglect
Found abuse by neglect due to failing to hold medications before surgery, which led to a canceled procedure and unnecessary discomfort.
Abuse—Failed to provide a safe medication administration system
02 May 2024Inspection
02 May 2024Inspection
Concluded that a violation occurred due to failure to provide scheduled showers, assist with leg stretching, and remove garbage regularly.
Licensing—Failed to provide service
16 Apr 2024Licensure
16 Apr 2024Licensure
Identified deficiencies in kitchen sanitation and licensing-rule compliance, with repeat issues cited for sanitation practices and administrative oversight.
Deficiency—Inspections and Investigation: Insp Interval
07 Apr 2024Abuse: Neglect
07 Apr 2024Abuse: Neglect
Investigated a resident care event and found that the care plan did not specify when checks should occur, leaving the resident at risk for serious harm. The incident involved a fall with injury.
Abuse—Failed to properly plan care
28 Mar 2024Inspection
28 Mar 2024Inspection
Investigated the allegation that residents were not included in service plan meetings and found that residents were not included in the planning, violating state rules.
Licensing—Failed to properly plan care
28 Mar 2024Inspection
28 Mar 2024Inspection
Identified a violation where the service plan did not reflect resident needs, including frequent falls and morning transfer requirements.
Licensing—Failed to properly plan care
22 Mar 2024Abuse: Neglect
22 Mar 2024Abuse: Neglect
Investigated abuse by neglect and found a failure to provide a safe medication administration system, delaying medications and risking serious harm.
Abuse—Failed to provide a safe medication administration system
05 Feb 2024Abuse: Neglect
05 Feb 2024Abuse: Neglect
Investigated the allegation of failure to protect a resident from financial exploitation and identified violations resulting in abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
02 Feb 2024Abuse: Neglect
02 Feb 2024Abuse: Neglect
Found abuse by neglect due to failure to protect a resident from financial exploitation after thefts occurred and an unknown perpetrator suspected.
Abuse—Failed to protect resident from financial exploitation
25 Jan 2024Abuse: Neglect
25 Jan 2024Abuse: Neglect
Found that a resident was not protected from financial exploitation, with abuse and neglect identified.
Abuse—Failed to protect resident from financial exploitation
24 Jan 2024Abuse: Neglect
24 Jan 2024Abuse: Neglect
Investigated and found that a resident's property was stolen and thefts were not reported to residents or law enforcement, indicating failure to protect residents from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
23 Jan 2024Inspection
23 Jan 2024Inspection
Found a licensing violation for failing to protect a resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
01 Jan 2024Abuse: Neglect
01 Jan 2024Abuse: Neglect
Investigated and found a failure to protect a resident from financial exploitation, constituting abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
14 Dec 2023Inspection
14 Dec 2023Inspection
Determined that a resident was financially exploited by an unknown perpetrator and that the provider did not protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
04 Dec 2023Inspection
04 Dec 2023Inspection
Found that a safe medication administration system was not provided, resulting in an incorrect pain medication dose given to a resident and causing pain and withdrawal symptoms.
Licensing—Failed to provide a safe medication administration system
09 Oct 2023Abuse: Neglect
09 Oct 2023Abuse: Neglect
Found a failure to provide a safe medication administration system that led to ongoing pain for a resident.
Abuse—Failed to provide a safe medication administration system
20 Sept 2023Abuse: Neglect
20 Sept 2023Abuse: Neglect
Identified a lack of a safe medication administration system that caused a resident to suffer unaddressed skin blisters and related discomfort due to medication management failures.
Abuse—Failed to provide a safe medication administration system
09 May 2023Licensure
09 May 2023Licensure
Observed improper glove use and inadequate handwashing during meal service, and noted administration noncompliance with licensing rules.
Investigated a complaint alleging failure to follow medication and treatment orders. Findings show follow-up labs and vitals orders were not carried out as prescribed.
Licensing—Failed to obtain medical order
27 Feb 2023Inspection
27 Feb 2023Inspection
Found that the facility failed to protect a resident from financial exploitation, resulting in unauthorized charges on the resident's cards.
Licensing—Failed to protect resident from financial exploitation
01 Feb 2023Inspection
01 Feb 2023Inspection
Found failure to submit timely or adequate staffing documentation for January 2023, resulting in a civil penalty of $7,500.
Licensing—Failed to submit timely or adequate staffing documentation
01 Jan 2023Inspection
01 Jan 2023Inspection
Investigated the allegation of a failure to provide a safe environment and found ongoing noncompliance with weekly reporting requirements for vaccinated individuals, residents and staff for 30 days.
Licensing—Failed to provide safe environment
01 Nov 2022Inspection
01 Nov 2022Inspection
Found a licensing violation for failing to submit timely or adequate staffing documentation and for not meeting weekly reporting requirements for vaccinated individuals, residents, and staff; assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
02 Oct 2022Abuse: Neglect
02 Oct 2022Abuse: Neglect
Found violations for failing to provide meals as needed, leaving the resident at risk of harm and constituting neglect and abuse.
Abuse—Failed to provide proper food/nutrition
31 Jan 2022Validation
31 Jan 2022Validation
Identified multiple deficiencies across resident assessments, service planning, change-of-condition monitoring, medication systems, staff training, and safety measures.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Rn Delegation and Teaching
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Systems: Self-Administration of Meds
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Resident Units
04 Jan 2022Validation
04 Jan 2022Validation
Identified multiple deficiencies across resident move-in evaluations, service plans, change of condition monitoring, health services, staff training, fire safety, nutrition, activities, and building safety. Follow-up verification found substantial compliance.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Secure Outdoor Recreation Area
Deficiency—Exit Doors
10 Nov 2021Inspection
10 Nov 2021Inspection
Found that a resident was not protected from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
11 Oct 2021Abuse: Neglect
11 Oct 2021Abuse: Neglect
Investigated an allegation of neglect for delaying medical treatment for a resident; found timely medical care was not provided, resulting in hospitalization and a UTI. A $500 fine was assessed.
Abuse—Failed to assure timely medical treatment
19 Jul 2021Abuse: Neglect
19 Jul 2021Abuse: Neglect
Investigated the allegation of neglect and found a failure to intervene after a resident's fall, delaying hospital care and resulting in a broken foot requiring surgery; a fine was assessed.
Abuse—Failed to intervene when resident's condition changed
20 May 2021Abuse: Neglect
20 May 2021Abuse: Neglect
Found neglect for failing to assess and monitor a leg infection and arrange timely medical care, resulting in pain and hospital treatment.
Abuse—Failed to provide transportation for medical or social purposes
13 Sept 2020Abuse: Neglect
13 Sept 2020Abuse: Neglect
Found a failure to provide a safe medication administration system that resulted in a resident receiving less than scheduled pain medication and risk for harm; a $500 fine was assessed for this violation.
Abuse—Failed to provide a safe medication administration system
01 Aug 2020Inspection
01 Aug 2020Inspection
Found violations related to preventing theft or misuse of medications and protecting a resident from financial exploitation.
Licensing—Failure to provide a system that prevents theft or misuse of medication
01 Jul 2020Inspection
01 Jul 2020Inspection
Investigated an allegation of failure to prevent medication theft; found significant gaps in documentation and safeguards against financial exploitation.
Licensing—Failure to provide a system that prevents theft or misuse of medication
01 Jul 2020Inspection
01 Jul 2020Inspection
Investigated a complaint and found a failure to prevent theft or misuse of medications and to protect a resident from financial exploitation, evidenced by extensive sign-outs and undocumented administration.
Licensing—Failure to provide a system that prevents theft or misuse of medication
20 Mar 2020Inspection
20 Mar 2020Inspection
Investigated a medication administration allegation found that incorrect insulin was given, causing hypoglycemia, and identified a deficient medication administration system.
Licensing—Failed to administer medication as ordered
26 Feb 2020Abuse: Neglect
26 Feb 2020Abuse: Neglect
Found failures in medication management and an unsafe medication administration system. The issues included failure to provide prescribed narcotic pain medication and over-administration events, posing harm to residents.
Abuse—Failed to administer medication as ordered
26 Feb 2020Abuse: Financial Exploitation
26 Feb 2020Abuse: Financial Exploitation
Investigated a medication management issue and found misappropriation of narcotic medication with multiple mis administrations, resulting in a $2,000 fine.
Abuse—Failure to provide a system that prevents theft or misuse of medication
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Investigated a medication handling complaint and found misappropriation of narcotics and documentation discrepancies, resulting in a fine.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Inspection
13 Jan 2020Inspection
Found that a resident was financially exploited due to improper medication handling and inadequate protection, constituting abuse.
Licensing—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Found violations for neglect and abuse involving misappropriation of medications and financial exploitation, and assessed a $375 fine.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Investigated allegations of financial exploitation and inadequate medication handling, identifying misappropriation of medications and a weak medication system, with a $375 fine assessed.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Found abuse and neglect due to medication misappropriation and financial exploitation. Assessed a $1,125 fine.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Identified violations involving misappropriation of medications and inadequate medication administration, and assessed a $375 fine.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Found substantiated abuse and neglect involving medication misappropriation and financial exploitation, with a fine assessed.
Abuse—Failed to protect resident from financial exploitation
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Found violations for neglect and financial exploitation related to medication misappropriation and inadequate medication management, with a $1125 fine assessed.
Abuse—Failed to protect resident from financial exploitation
02 Dec 2019Abuse: Neglect
02 Dec 2019Abuse: Neglect
Investigated a resident's inconsistent wound care, which led to pain and infection and was identified as neglect and abuse.
Abuse—Failed to assure timely medical treatment
01 Nov 2019Abuse: Neglect
01 Nov 2019Abuse: Neglect
Investigated and found violations involving medication management and financial exploitation; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
23 Oct 2019Abuse: Neglect
23 Oct 2019Abuse: Neglect
Found that an error in the MAR system led to missing evening medications and a below-optimal INR, creating risk of serious harm and constituting abuse and neglect.
Abuse—Failed to administer medication as ordered
03 Jun 2019Abuse: Neglect
03 Jun 2019Abuse: Neglect
Identified neglect due to failure to provide basic care and services, creating risk of serious harm.
Abuse—Failed to provide a safe medication administration system
03 Jun 2019Inspection
03 Jun 2019Inspection
Determined that there was a failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
03 Jun 2019Inspection
03 Jun 2019Inspection
Investigated the allegation of failing to report suspected abuse and found a failure to report.
Licensing—Failed to report potential or suspected abuse
03 Jun 2019Abuse: Neglect
03 Jun 2019Abuse: Neglect
Found neglect of a resident due to failure to provide safe care and medications, resulting in physical harm.
Abuse—Failed to provide a safe medication administration system
11 Apr 2019Inspection
11 Apr 2019Inspection
Investigated the allegation and found a failure to protect a resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
22 Mar 2019Inspection
22 Mar 2019Inspection
Investigated the staffing allegation and identified a deficiency related to staffing.
Licensing—Failed to provide appropriate staffing
12 Feb 2019Abuse: Neglect
12 Feb 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, risking serious harm to a resident.
Abuse—Failed to provide a safe medication administration system
12 Feb 2019Inspection
12 Feb 2019Inspection
Investigated the allegation of failing to report potential or suspected abuse. Found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
21 Dec 2018Inspection
21 Dec 2018Inspection
Found that medications were not administered as ordered, with some not given to residents.
Licensing—Failed to administer medication as ordered
06 Oct 2018Abuse: Neglect
06 Oct 2018Abuse: Neglect
Investigated a complaint and found unsafe medication practices and inadequate basic care that resulted in harm.
Abuse—Failed to provide a safe medication administration system
06 Oct 2018Inspection
06 Oct 2018Inspection
Found that suspected abuse was not reported; assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
29 Aug 2018Abuse: Neglect
29 Aug 2018Abuse: Neglect
Investigated an alleged financial exploitation and found neglect causing financial loss, resulting in a $1,500 fine.
Abuse—Failed to protect resident from financial exploitation
10 Jun 2018Abuse: Physical Abuse
10 Jun 2018Abuse: Physical Abuse
Determined that a resident was physically abused, resulting in risk of serious harm.
Abuse—Failed to protect resident from rough treatment
17 Apr 2018Inspection
17 Apr 2018Inspection
Identified a violation related to unpleasant odors and cleanliness.
Licensing—Failed to provide appropriate housekeeping services
21 Nov 2017Abuse: Neglect
21 Nov 2017Abuse: Neglect
Found failure to administer medications as ordered, indicating an unsafe medication administration system.
Abuse—Failed to provide a safe medication administration system
14 Sept 2017Inspection
14 Sept 2017Inspection
Found a violation of food safety rules due to cockroaches in the kitchen.
Licensing—Failed to assure food safety
07 Aug 2017Abuse: Financial abuse
07 Aug 2017Abuse: Financial abuse
Investigated and found a deficiency related to protecting residents from theft of medication; a $200 fine was assessed.
Abuse—Failed to provide safe environment
24 Jul 2017Abuse: Financial abuse
24 Jul 2017Abuse: Financial abuse
Investigated the financial abuse allegation and found a failure to protect the reported victim from theft.
Abuse—Failed to provide safe environment
12 Jul 2017Inspection
12 Jul 2017Inspection
Determined that a deficiency occurred for failing to provide or maintain resident care equipment.
Licensing—Failed to provide or maintain resident care equipment
19 Jun 2017Abuse: Financial abuse
19 Jun 2017Abuse: Financial abuse
Found a financial abuse allegation and a failure to protect the reported victim from theft.
Abuse—Failed to provide safe environment
01 Jun 2017Abuse: Financial abuse
01 Jun 2017Abuse: Financial abuse
Found a failure to protect a resident from financial exploitation, resulting in theft.
Abuse—Failed to protect resident from financial exploitation
04 Apr 2017Inspection
04 Apr 2017Inspection
Found that medications were not administered as ordered to a resident.
Licensing—Failed to administer medication as ordered
21 Feb 2017Inspection
21 Feb 2017Inspection
Investigated and found failure to provide 24-hour assistance with activities of daily living, including toileting and bowel/bladder management.
Licensing—Failed to assist with toileting
28 Nov 2016Inspection
28 Nov 2016Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
28 Nov 2016Inspection
28 Nov 2016Inspection
Investigated the allegation and identified a failure to provide activities for residents.
Licensing—Failed to provide appropriate activities
23 Sept 2016Abuse: Neglect
23 Sept 2016Abuse: Neglect
Found that a resident was not protected from rough treatment.
Abuse—Failed to protect resident from rough treatment
02 Jun 2016Abuse: Neglect
02 Jun 2016Abuse: Neglect
Identified a medication administration deficiency where the resident did not receive the correct medication as ordered.
Abuse—Failed to administer medication as ordered
06 Apr 2016Inspection
06 Apr 2016Inspection
Found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
09 Mar 2016Abuse: Neglect
09 Mar 2016Abuse: Neglect
Found neglect due to failure to assess and intervene after a resident's condition changed, with a $300 fine assessed.
Abuse—Failed to intervene when resident's condition changed
04 May 2010Abuse: Financial abuse
04 May 2010Abuse: Financial abuse
Found failure to protect a resident from theft. A $300 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
11 Apr 2010Abuse: Financial abuse
11 Apr 2010Abuse: Financial abuse
Found that a resident was not protected from financial exploitation, and a $300 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
11 Apr 2010Inspection
11 Apr 2010Inspection
Investigated and found a failure to report potential abuse and to investigate theft to APS.
Licensing—Failed to report potential or suspected abuse
04 Apr 2010Abuse: Financial abuse
04 Apr 2010Abuse: Financial abuse
Found that a resident was not protected from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
12 Jan 2010Inspection
12 Jan 2010Inspection
Found an inadequate medication system, leading to a licensing violation.
Licensing—Failed to provide a safe medication administration system
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